Time Verification Agreement Employer Approval Form

Your student intern has submitted a record of hours, and we now ask that you verify the information the intern has provided.

You can view the student's submission via the link above. Then, by completing the form below you will confirm everything is correct.

If you have any questions, you may contact the WWU Internship Facilitator at 509-527-2664 or by email to HeidiM.Roberts@wallawalla.edu.

Student Intern Name*

First Name

Last Name

Your Name*

First Name

Last Name

Your email address*

Your Job Title*

Your Company Name*

I have reviewed the student intern's Time Verification submission and verify its accuracy.*

Yes No

Please explain your reason for not verifying the accuracy of this student's Time Verification submission.*

The student will be required to submit a revised form.

Additional Comments (optional)

Today's Date*

Your Signature*

Use your mouse or finger to draw your signature above, for validation.